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Provide design and oversight of complex actuarial specifically related to analyzing and implementing changes that impact pricing and risk assumptions of Part D Lead actuarial efforts that affect new and existing business Provide direction for the development of competitive analysis Determine the impact of various actions on premiums and various product proposals Mentor and develop your elite team
Posted 4 days ago
Q.B.E North America
- Greenwood Village, CO
Utilizing standardized procedures, receives calls from repair facilities and customers holding a policy and completes evaluation according to the terms and conditions of the policy to ensure cost effectiveness and meeting customer needs. Policies supported include RV or auto claims. This position is an inside appraiser in a call center environment Provide timely, personalized and quality customer
Posted 1 day ago
Q.B.E North America
- Sun Prairie, WI / Topeka, KS / Missoula, MT / 59 more...
Respond to crop claims by completing field inspections, communicating with involved parties, performing investigations, determining appropriate adjustments and administering insurance policies to ensure compliance with state and federal regulations. Primary responsibilities Complete field inspections, reviews and adjustments by reading maps and aerial photos, measuring fields and storage bins, and
Posted 1 day ago
Specific information related to the position is outlined below. To apply, click on the button above. You will be required to create an account (or sign in with an existing account). Your account will provide you access to your application information. Should you have a disability and need assistance with the application process, please request a reasonable accommodation by emailing or by calling 8
Posted 1 day ago
Specific information related to the position is outlined below. To apply, click on the button above. You will be required to create an account (or sign in with an existing account). Your account will provide you access to your application information. Should you have a disability and need assistance with the application process, please request a reasonable accommodation by emailing or by calling 8
Posted 3 days ago
• Monitors delinquent accounts and performs collection duties • Reviews reports, researches and resolves issues • Reviews payment postings for accuracy and to ensure account balances are current • Works with co workers to resolve insurance payment and billing errors • Monitors and updates delinquent accounts status • Recommends accounts for collection or write off &bu
Posted 3 days ago
UnitedHealth Group
- Meridian, ID / Seattle, WA / Phoenix, AZ / 2 more...
You get it. Everyone gets it. The health care system needs to evolve even further than it has and it has to do so quickly. New models of care and new networks of providers are emerging now to better serve patients and communities. And leaders like UnitedHealth Group are playing a lead role. Here's where you come in. As member of our network contracting team, you'll help develop and support Provide
Posted 6 days ago
UnitedHealth Group
- Eden Prairie, MN / San Francisco, CA / Los Angeles, CA / 2 more...
No industry is moving faster than health care. And no organization is better positioned to lead health care forward. We need attention to every detail with an eye for the points no one has considered. You'll help improve the health of millions. And you'll do your life's best work.(sm) Reporting to the Senior Vice President of Behavioral Health Clinical Products, this role is responsible for suppor
Posted 1 day ago
Collects patient documentation and charts for claim submission. Ensures claim forms are completely and accurately filled out. Updates and maintains patient billing data and ensures documents are current. Reviews patient charts for completeness. Contacts clinical staff for clarification on procedures or diagnosis and on missing information. Enters charges, processes, and submits insurance claims to
Posted 3 days ago
Q.B.E North America
- Sun Prairie, WI / Chandler, AZ / Greenwood Village, CO / 2 more...
Manage portfolio by investigating (as required by line of business), researching and ensuring consistent and optimal disposition of claims, assessing and estimating damage, reviewing and analyzing various types of contracts/policies, negotiating settlements and making recommendations on legal and coverage issues. Responsible for working on medium to high volume of moderate complexity cases for ass
Posted 1 day ago
Provides administrative support for special projects to include research, compiling data, preparing standard reports. Answers telephones, takes accurate messages, and screens and directs calls in a professional manner. Composes, prepares, and proofreads correspondence, office memos, and reports on the computer; maintaining confidentiality when required. Handles all administrative detail to support
Posted 3 days ago
Abstracts relevant clinical and demographic information from the medical record to assign ICD 9 and CPT 4 codes in accordance with coding and reimbursement guidelines. Identifies principal and secondary diagnosis with minimal error based on the national based standards. Codes with an accuracy of 97% based on QA internal reviews. Records all diagnostic procedures and assigns appropriate procedure c
Posted 3 days ago
The Director of Aviation Risk and Compliance directs policies and objectives involving federal government affairs, leads analysis of proposed legislative actions and determines the potential impact on the organization, and monitors legislative and regulatory activities. Additionally, this role analyzes and tracks legislation of interest to the company, ensures regulatory compliance and communicate
Posted 6 days ago
Overview Are you looking for an exciting opportunity in one of the fastest growing areas of healthcare that will allow you to make a difference in people's lives while you grow your career? We are BAYADA Home Health Care , a leading home health care company, and want you to apply your energy and skills to this dynamic and entrepreneurial environment and become an integral part of a caring, profess
Posted 1 day ago
Support economic development activities by providing research, analysis, data entry and other services that drive positive program results. Participate in developing prospect proposal presentations, facilitate customer business retention activities, and support certified site program activities. Develop, design and monitor reports to assure consistent, accurate and timely reporting of departmental
Posted 1 day ago
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